MRS. KIMBERLY RAYE MITCHELL (O.D.) – Optometrist, NPI 1780674101
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
422 OPTOMETRY in AR
Loading map...
Provider Addresses for MRS. KIMBERLY RAYE MITCHELL (O.D.)
215, West Main Street, Bel-Aire Subdivision, Cabot, Lonoke County, Arkansas, 72023, United States
CABOT, AR 720232944
Phone: (501) 843-7511
Fax: (501) 605-0905
Type: Location
278 S BROADVIEW ST
SUITE B-3
GREENBRIER, AR 72058
Phone: (501) 402-1200
Fax: (501) 273-0886
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $209.
Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($58).
Total Amount
$209
General + Research + Ownership
Payments
9
Total payment records
General Amount
$209
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-04-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050421000572 | I | Optometry | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92133 | Imaging of optic nerve | 245 | 210 | $0 |
| 92083 | Exam of visual field with extended testing | 240 | 205 | $0 |
| 92014 | Established patient complete exam of visual system | 226 | 224 | $0 |
| 92134 | Imaging of retina | 122 | 115 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 110 | 90 | $0 |
Insurance plans in this area (ZIP 72023)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | AR | 92083 | Measurement of field of vision during daylight conditions | 126 | 104 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | AR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.